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NPI 1790635175 · live from the CMS NPI Registry

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Skilled Nursing Facility in Litchfield, MN. National Provider Identifier 1790635175, active.

NPI record

NPI1790635175 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location203 N Armstrong Ave, Litchfield, MN 55355
Practice phone320-221-2311
Mailing address3530 Lexington Ave N, Shoreview, MN 55126
EnumeratedFebruary 3, 2026
Last updatedFebruary 11, 2026
Authorized officialDouglas Harrison, Cfo
Other namesBethany Assisted Living In Litchfield

Taxonomies and licenses

TaxonomyCodeLicense
Alzheimer Center (Dementia Center)311500000X—
Skilled Nursing Facility primary314000000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.